Individual provider Active NPI

Wayne Woo, MD MA CCD FACE CDE

  • Endocrinology, Diabetes & Metabolism Physician
  • Flowood, MS
National Provider Identifier
1023064177
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17286 Issued in MS
Practice address
2610 Courthouse Cir
Flowood, MS 39232-9562
Phone
(601) 932-1223
Fax
(601) 932-1291
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17286 MS Primary

Addresses

Primary practice location

2610 Courthouse Cir
Flowood, MS 39232-9562

Mailing address

2610 Courthouse Cir
Flowood, MS 39232-9562
Phone (601) 932-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000877 MS Practitioner - EndocrinologyPractitioner - Internal Medicine 5294764304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2610 Courthouse Cir
Flowood, MS 39232-9562
Phone (601) 932-1223

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrine Institute, PLLC Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2001 Accepting new patients

Locations

2610 Courthouse Cir
Flowood, MS 39232
Phone (601) 932-1223

Networks

  • MS PPO C-SNP
  • MS PPO D-SNP
  • LA PPO C-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: wayne.woo@4060.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1023064177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 COURTHOUSE CIR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329562",
            "telephone_number": "601-932-1223",
            "fax_number": "601-932-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 COURTHOUSE CIR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329562",
            "telephone_number": "601-932-1223",
            "fax_number": "601-932-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD MA CCD FACE CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "17286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.